Individual provider Active NPI

Dale Hojung Lee, D.O.

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1689874430
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101015269 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-6000
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101015269 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

2175 Hartshorn Ave
Troy, MI 48083-1762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080131000179 MI Practitioner - Diagnostic Radiology 2769564665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Harris Birkhill Wang Songe and Assoc PCGroup PAC ID 3779495338, 63 clinicians

Practice addresses (Care Compare)

25045 Ford Rd
Suite 100
Dearborn, MI 48128-1088
Phone (313) 359-7650

Hospital & facility affiliations

  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270

Merit-based Incentive Payment System (MIPS)

Final score
54.06 of 100Reported as individual
Quality
46.59
Improvement activities
0
Cost
64.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015269MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Harris Birkhill Wang Songe & Assoc PC Diagnostic Radiology CurrentSince Jun 1, 2008 Accepting new patients
Oakwood Healthcare Inc PastSince Jun 1, 2008 Accepting new patients

Locations

840 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 359-7600

18100 Oakwood Blvd
Ste 200
Dearborn, MI 48124
Phone (313) 438-7715

25045 Ford Rd
Dearborn, MI 48128
Phone (313) 359-0660

25045 Ford Rd
Ste 100
Dearborn, MI 48128
Phone (313) 359-7650

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

Interoperability endpoints

  • Direct secure messaging: dlee57928@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1689874430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 HARTSHORN AVE",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DALE",
        "middle_name": "HOJUNG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101015269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.